Provider Demographics
NPI:1265144877
Name:LEGADO CHAFINO & CO. LLC
Entity type:Organization
Organization Name:LEGADO CHAFINO & CO. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:SERGIO
Authorized Official - Last Name:CHAFINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-779-9160
Mailing Address - Street 1:4959 PALO VERDE ST STE 103A-5
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2338
Mailing Address - Country:US
Mailing Address - Phone:909-779-9160
Mailing Address - Fax:909-245-2808
Practice Address - Street 1:4959 PALO VERDE ST STE 103A-5
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2338
Practice Address - Country:US
Practice Address - Phone:909-779-9160
Practice Address - Fax:909-245-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi